Diane Mitzenmacher, Lcsw Inc

LBN: Diane Mitzenmacher, Lcsw Inc
Diane Mitzenmacher, Lcsw Inc is an health care organization with primary practice located at 8300 Utica Ave Ste 155 , Rancho Cucamonga CA 91730-7605. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Diane Mitzenmacher, Lcsw Inc can be contacted via phone (909) 285-5205, or through Mitzenmacher, Diane via phone (909) 285-5205.

Contact Information

Primary practice address
8300 Utica Ave Ste 155 Rancho Cucamonga CA 91730-7605
Phone: (909) 285-5205
Fax: (909) 989-4648
Website:
Map and Directions
Authorized official contact:
Name: Mitzenmacher, Diane Licensed Clinical Social Worker (LCSW)
Phone: (909) 285-5205

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1497318943
LBN Legal business name Diane Mitzenmacher, Lcsw Inc
DBA Doing business as
Authorized official Mitzenmacher, Diane Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2019
Last updated Apr 19th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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